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White rice intake and incident diabetes: A study of 132,373 participants in 21 countries

dc.contributor.authorBhavadharini, Balaji
dc.contributor.authorMohan, Viswanathan
dc.contributor.authorDehghan, Mahshid
dc.contributor.authorRangarajan, Sumathy
dc.contributor.authorSwaminathan, Sumathi
dc.contributor.authorRosengren, Annika
dc.contributor.authorWielgosz, Andreas
dc.contributor.authorAvezum, Alvaro
dc.contributor.authorLopez-Jaramillo, Patricio
dc.contributor.authorDans, Antonio
dc.contributor.authorYeates, Karen
dc.contributor.authorPoirier, Paul
dc.contributor.authorChifamba, Jephat
dc.contributor.authorAlhabib, Khalid F.
dc.contributor.authorMohammadifard, Noushin
dc.contributor.authorZatonska, Katarzyna
dc.contributor.authorKhatib, Rasha
dc.contributor.authorKeskinler, Mirac Vural
dc.contributor.authorWei, Li
dc.contributor.authorWang, Chuangshi
dc.contributor.authorLiu, Xiaoyun
dc.contributor.authorIqbal, Romaina
dc.contributor.authorYusuf, Rita
dc.contributor.authorWentzel-Viljoen, Edelweiss
dc.contributor.authorYusufali, Afzalhussein
dc.contributor.authorDiaz, Rafael
dc.contributor.authorKien Keat, Ng
dc.contributor.authorLakshmi, P.V.M.
dc.contributor.authorIsmail, Noorhassim
dc.contributor.authorGupta, Rajeev
dc.contributor.authorPalileo-Villanueva, Lia M.
dc.contributor.authorSheridan, Patrick
dc.contributor.authorMente, Andrew
dc.contributor.authorYusuf, Salim
dc.contributor.researchgroupMasiraspa
dc.date.accessioned2022-02-22T15:11:50Z
dc.date.available2022-02-22T15:11:50Z
dc.date.issued2020-09-01
dc.descriptionDigitalspa
dc.description.abstractOBJECTIVE Previous prospective studies on the association of white rice intake with incident diabetes have shown contradictory results but were conducted in single countries and predominantly in Asia. We report on the association of white rice with risk of diabetes in the multinational Prospective Urban Rural Epidemiology (PURE) study. RESEARCH DESIGN AND METHODS Data on 132,373 individuals aged 35–70 years from 21 countries were analyzed. White rice consumption (cooked) was categorized as <150, ≥150 to <300, ≥300 to <450, and ≥450 g/day, based on one cup of cooked rice = 150 g. The primary outcome was incident diabetes. Hazard ratios (HRs) were calculated using a multivariable Cox frailty model. RESULTS During a mean follow-up period of 9.5 years, 6,129 individuals without baseline diabetes developed incident diabetes. In the overall cohort, higher intake of white rice (≥450 g/day compared with <150 g/day) was associated with increased risk of diabetes (HR 1.20; 95% CI 1.02–1.40; P for trend = 0.003). However, the highest risk was seen in South Asia (HR 1.61; 95% CI 1.13–2.30; P for trend = 0.02), followed by other regions of the world (which included South East Asia, Middle East, South America, North America, Europe, and Africa) (HR 1.41; 95% CI 1.08–1.86; P for trend = 0.01), while in China there was no significant association (HR 1.04; 95% CI 0.77–1.40; P for trend = 0.38). CONCLUSIONS Higher consumption of white rice is associated with an increased risk of incident diabetes with the strongest association being observed in South Asia, while in other regions, a modest, nonsignificant association was seen.spa
dc.description.researchareaCiencias Médicas y de la Saludspa
dc.format.extent8 pspa
dc.format.mimetypeapplication/pdfspa
dc.identifier.doihttps://doi.org/10.2337/dc19-2335
dc.identifier.urihttps://repositorio.udes.edu.co/handle/001/6099
dc.language.isoengspa
dc.publisherDiabetes Carespa
dc.publisher.placeUSAspa
dc.relation.citationendpage2650spa
dc.relation.citationissue11spa
dc.relation.citationstartpage2643spa
dc.relation.citationvolume43spa
dc.relation.indexedScopusspa
dc.relation.ispartofjournalDiabetes Carespa
dc.rights© 2020 The Authors, by the American Diabetes Associationspa
dc.rights.accessrightsinfo:eu-repo/semantics/openAccessspa
dc.rights.creativecommonsAtribución-NoComercial 4.0 Internacional (CC BY-NC 4.0)spa
dc.rights.urihttps://creativecommons.org/licenses/by-nc/4.0/spa
dc.sourcehttps://diabetesjournals.org/care/article/43/11/2643/35780/White-Rice-Intake-and-Incident-Diabetes-A-Study-ofspa
dc.titleWhite rice intake and incident diabetes: A study of 132,373 participants in 21 countriesspa
dc.typeArtículo de revistaspa
dc.type.coarhttp://purl.org/coar/resource_type/c_6501spa
dc.type.contentTextspa
dc.type.driverinfo:eu-repo/semantics/articlespa
dc.type.redcolhttp://purl.org/redcol/resource_type/ARTspa
dc.type.versioninfo:eu-repo/semantics/publishedVersionspa
dcterms.audienceTodas las Audienciasspa
dspace.entity.typePublication
oaire.accessrightshttp://purl.org/coar/access_right/c_abf2spa
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85spa
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